| NPI | 1821470766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19879) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2020-03-12 |